Incidence of Intradialytic Complications in Critically ill patients
Keywords:
Intra-dialytic complication, Contrast-associated Acute Kidney Injury (CA-AKI), Critically ill patientAbstract
Introduction: Intra-dialytic complications often found in critically ill patients include hypotension, cardiac arrhythmia, and hypoglycemia, etc. The most serious complication is a sudden cardiac arrest which intensifies harmful impacts.
Methods: This retrospective descriptive research aimed to study the intra-dialytic complications of critically ill patients with acute kidney injury in the intensive care unit.
Forty-four (44) samples were selected through the purposive sampling method. Data were medical records of patients with acute kidney injury (AKI) undergoing hemodialysis for the first time in the intensive care unit, Singburi Hospital, from 1 January -30 June 2021
Results: Among 44 samples, 33 samples (75.00%) were found to have intra-dialytic complications. 21samples (47.72%) had hypotension. 6 samples(13.63 %) had bradycardia. 4samples (9.09%), had tachycardia. Finally, 1sample (2.28 %) had bleeding from the catheter insertion site, and 1 sample (2.28%) had a sudden cardiac arrest.
Conclusion: The intra-dialytic complications of critically ill patients with acute kidney injury were hypotension, cardiac arrhythmia, bleeding from the catheter insertion site, and a sudden cardiac arrest. The results recommended that nurses closely monitor patients during the period of hemodialysis, especially in critically ill patients.
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